Risks from Immediate Bilateral Reconstruction

Does immediate bilateral reconstruction poise additional risks for a smoker? 

Doctor Answers (5)

Immediate Breast Reconstruction in a Smoker

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I would recommend delaying your reconstruction until you can be off cigarettes for 2 weeks before surgery and 4 weeks after surgery.  Breast Reconstruction is elective surgery.   As your surgeon, I have the duty to provide you with the safest procedure with minimal risk and downtime.  Active smoking carries too high a risk to consider immediate reconstruction.  Consult with your primary care physician to determine the optimal smoking cessation aid for you.   I wish you all the best.

Houston Plastic Surgeon
5.0 out of 5 stars 47 reviews

Risks from immediate bilateral reconstruction

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Yes smokers have a higher statistical risks of skin necrosis and infection. You should discuss in detail with the reconstructive surgeon so you are informed.


Smoking GREATLY increases Complications of Immediate Breast Reconstruction

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Smoking, either first or second degree, is associated with a decreased amount of blood flow through the skin. Immediate breast reconstruction in smokers has a significant rate of complications which could be otherwise decreased or avoided.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 69 reviews

Breast reconstruction and smoker

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Smoking increases the complication rate of surgery in some studies by more than 50% as compared to the non-smoking population.  I would stop smoking first.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Smooking and surgery

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There is a risk of wound healing with or without immediate breast reconstruction.

The degree of risk varies with the method of reconstruction.

I would not do an immediate breast reconstruction on a smooker.

Skin flaps can die, Flaps can die. WHY TAKE THE RISK????????????????????????//

Samir Shureih, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.